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Claims Review Nurse jobs

Viewing 1 - 10 of 1,833 jobs

  • Claims Assistant - Workers Compensation Job

    HCR Manor Care - Toledo, OH

    Location: 000 - Corporate Office Title: Claims Assistant - Workers Compensation Description: HCR ManorCare provides a ... of workers' compensation claims by providing support to the Claims Administrators; Responsible for bill review,...

    5 days ago from HCR ManorCare

  • Case Manager - RN

    Dignity Health Medical Foundation - Santa Cruz, CA

    Description JOB ID: 1500016947 This position will review medical records, benefit, contractual and other guidelines to determine benefit coverage, medical appropriateness including, access, scope availability, and level of care...

    5 days ago from Dignity Health Medical Foundation

  • Registrar PRN - Sahara Surgery Center

    HCA Healthcare - Las Vegas, NV

    information to ensure accurate coding, billing, and claims submission. SUPERVISOR: Business Office Manager SUPERVISES: N/A CLASSIFICATION: Non-Exempt DUTIES INCLUDE BUT ARE NOT LIMITED TO: * Responsible for accurately performing all...

    4 days ago from HCA Healthcare

  • Concurrent Review Nurse - Permanent Job

    Yoh - Santa Cruz, CA

    Concurrent Review Nurse needed for a direct hire opportunity with Yoh's client located in Santa Cruz County, CA. Top ... - Perform preauthorization, concurrent and post-service review for all acute, sub-acute, skilled nursing facilities...

    20 hours ago from Jobg8

  • RN Critical Care Registered Nurse Medical ICU Days

    HCA Healthcare - Largo, FL

    Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other ... Review high charge stays/procedures for charging accuracy...

    2 days ago from HCA Healthcare

  • Claim Recovery Associate

    Visiting Nurse Service of New York - New York City, NY

    Overview: Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the...

    17 hours ago from Glass Door

  • Staff Nurse (Revenue Utilization Review)

    U.S. Department of Veterans Affairs - Cincinnati, OH

    Job Duties: RUR (Registered Utilization Review) Nurse responsibilities include: 1) Approval Reviews: The RUR nurse ... tools required per UR documentation standards. 2) Denial Review: The RUR nurse will appeal denied clinical claim...

    20 hours ago from U.S. Department of Veterans Affairs

  • UTILIZATION REVIEW SPECIALIST - Mental Health & Substance Use Services

    Marin County - San Rafael, CA

    UTILIZATION REVIEW SPECIALIST Mental Health & Substance Use Services Health & Human Services $5,552-$6,691/Month (6% ass ... Services Utilization Review Specialist conducts utilization review activities to support the proper documentation of...

    6 days ago from iHireMentalHealth

  • Licensed Practical Nurse (LPN)

    Wexford - Galesburg, IL

    pharmacy, utilization management, provider contracting, claims processing, and quality management services. At ... DUTIES/RESPONSIBILITIES The Licensed Practical Nurse shall provide a range of services to the center including assessmen...

    5 days ago from Wexford Health

  • Medical Business Office Specialist PRN

    HCA Healthcare - Coral Springs, FL

    claims, etc. * Generates and processes all insurance claims. * Researches required information and maintains ... secondary Insurance carrier. * Inputs charges to create claims in AdvantX. * Sends electronic insurance claims to...

    3 days ago from HCA Healthcare